11-5234385-C-G
Variant names: 
Variant summary
Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2
The NM_000519.4(HBD):c.49G>C(p.Gly17Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000527 in 1,614,036 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as other (no stars).
Frequency
 Genomes: 𝑓 0.0028   (  5   hom.,  cov: 32) 
 Exomes 𝑓:  0.00029   (  1   hom.  ) 
Consequence
 HBD
NM_000519.4 missense
NM_000519.4 missense
Scores
 1
 6
 11
Clinical Significance
Conservation
 PhyloP100:  -1.18  
Publications
1 publications found 
Genes affected
 HBD  (HGNC:4829):  (hemoglobin subunit delta) The delta (HBD) and beta (HBB) genes are normally expressed in the adult: two alpha chains plus two beta chains constitute HbA, which in normal adult life comprises about 97% of the total hemoglobin. Two alpha chains plus two delta chains constitute HbA-2, which with HbF comprises the remaining 3% of adult hemoglobin. Five beta-like globin genes are found within a 45 kb cluster on chromosome 11 in the following order:      5'-epsilon--Ggamma--Agamma--delta--beta-3'. Mutations in the delta-globin gene are associated with beta-thalassemia. [provided by RefSeq, Jul 2008] 
HBD Gene-Disease associations (from GenCC):
- delta-beta-thalassemiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -8 ACMG points.
BP4
Computational evidence support a benign effect (MetaRNN=0.012547195). 
BS2
High Homozygotes in GnomAd4 at 5 AR gene
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.00274  AC: 417AN: 152144Hom.:  5  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
417
AN: 
152144
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.000748  AC: 188AN: 251240 AF XY:  0.000604   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
188
AN: 
251240
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.000295  AC: 431AN: 1461774Hom.:  1  Cov.: 30 AF XY:  0.000254  AC XY: 185AN XY: 727194 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
431
AN: 
1461774
Hom.: 
Cov.: 
30
 AF XY: 
AC XY: 
185
AN XY: 
727194
show subpopulations 
African (AFR) 
 AF: 
AC: 
365
AN: 
33468
American (AMR) 
 AF: 
AC: 
23
AN: 
44718
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26132
East Asian (EAS) 
 AF: 
AC: 
1
AN: 
39700
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86258
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53418
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
10
AN: 
1111920
Other (OTH) 
 AF: 
AC: 
32
AN: 
60392
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.484 
Heterozygous variant carriers
 0 
 29 
 58 
 88 
 117 
 146 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 20 
 40 
 60 
 80 
 100 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
GnomAD4 genome   AF:  0.00275  AC: 419AN: 152262Hom.:  5  Cov.: 32 AF XY:  0.00255  AC XY: 190AN XY: 74456 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
419
AN: 
152262
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
190
AN XY: 
74456
show subpopulations 
African (AFR) 
 AF: 
AC: 
397
AN: 
41540
American (AMR) 
 AF: 
AC: 
20
AN: 
15292
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3468
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5180
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4826
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10616
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
68022
Other (OTH) 
 AF: 
AC: 
1
AN: 
2112
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.501 
Heterozygous variant carriers
 0 
 20 
 39 
 59 
 78 
 98 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 10 
 20 
 30 
 40 
 50 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ESP6500AA 
 AF: 
AC: 
43
ESP6500EA 
 AF: 
AC: 
0
ExAC 
 AF: 
AC: 
111
Asia WGS 
 AF: 
AC: 
1
AN: 
3478
EpiCase 
 AF: 
EpiControl 
 AF: 
ClinVar
Significance: other 
Submissions summary: Other:2 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
HEMOGLOBIN B(2)    Other:1 
Dec 12, 2017
OMIM
Significance:other
Review Status:no assertion criteria provided
Collection Method:literature only
- -
HEMOGLOBIN A(2)-PRIME    Other:1 
Dec 12, 2017
OMIM
Significance:other
Review Status:no assertion criteria provided
Collection Method:literature only
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Uncertain 
 BayesDel_addAF 
 Benign 
T 
 BayesDel_noAF 
 Uncertain 
 DANN 
 Benign 
 DEOGEN2 
 Benign 
T;T;T;T;.;T 
 Eigen 
 Benign 
 Eigen_PC 
 Benign 
 FATHMM_MKL 
 Benign 
N 
 LIST_S2 
 Benign 
T;.;.;T;T;T 
 MetaRNN 
 Benign 
T;T;T;T;T;T 
 MetaSVM 
 Benign 
T 
 MutationAssessor 
 Pathogenic 
.;M;M;M;.;. 
 PhyloP100 
 PrimateAI 
 Benign 
T 
 PROVEAN 
 Uncertain 
D;.;D;.;D;D 
 REVEL 
 Uncertain 
 Sift 
 Uncertain 
D;.;D;.;D;D 
 Sift4G 
 Uncertain 
D;.;D;.;D;. 
 Polyphen 
 0.042 
.;B;B;B;.;. 
 Vest4 
 MVP 
 MPC 
 0.012 
 ClinPred 
T 
 GERP RS 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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